| NPI | 1083238133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD29263) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 36262) |
| 207R00000X Internal Medicine (Licence: SC LL84241) | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-09-15 |